Pathways from Childhood Abuse and Neglect to HIV-Risk Sexual Behavior in Middle Adulthood

Autor/inn/en	Wilson, Helen W.; Widom, Cathy Spatz
Titel	Pathways from Childhood Abuse and Neglect to HIV-Risk Sexual Behavior in Middle Adulthood
Quelle	In: Journal of Consulting and Clinical Psychology, 79 (2011) 2, S.236-246 (11 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-006X
DOI	10.1037/a0022915
Schlagwörter	Acquired Immunodeficiency Syndrome (AIDS); Sexual Abuse; Child Abuse; Structural Equation Models; Prevention; Physical Health; Drinking; Sexuality; Child Neglect; At Risk Persons; Adults; Correlation; Psychological Patterns; Social Influences; Intimacy; Interpersonal Relationship; Affective Behavior; Drug Abuse; Delinquency; Crime; Children; Longitudinal Studies; Interviews + Suchen Sie Ihr Suchwort? Sexueller Missbrauch; Abuse of children; Abuse; Child; Children; Kindesmissbrauch; Missbrauch; Kind; Kinder; Prävention; Vorbeugung; Gesundheitszustand; Trinken; Sexualität; Kindesvernachlässigung; Risikogruppe; Korrelation; Sozialer Einfluss; Intimität; Interpersonal relation; Interpersonal relations; Interpersonelle Beziehung; Zwischenmenschliche Beziehung; Affective disturbance; Active behaviour; Affektive Störung; Kriminalität; Crimes; Delict; Delicts; Delikt; Longitudinal study; Longitudinal method; Longitudinal methods; Längsschnittuntersuchung; Interviewing; Interviewtechnik
Abstract	Objective: This study examines the relationship between childhood abuse and neglect and sexual risk behavior in middle adulthood and whether psychosocial factors (risky romantic relationships, affective symptoms, drug and alcohol use, and delinquent and criminal behavior) mediate this relationship. Method: Children with documented cases of physical abuse, sexual abuse, and neglect (ages 0-11) processed during 1967-1971 were matched with nonmaltreated children and followed into middle adulthood (approximate age 41). Mediators were assessed in young adulthood (approximate age 29) through in-person interviews between 1989 and 1995 and official arrest records through 1994 (N = 1,196). Past year HIV-risk sexual behavior was assessed via self-reports during 2003-2004 (N = 800). Logistic regression was used to examine differences in sexual risk behavior between the abuse and neglect and control groups, and latent variable structural equation modeling was used to test mediator models. Results: Child abuse and neglect was associated with increased likelihood of risky sexual behavior in middle adulthood, odds ratio = 2.84, 95% CI [1.74, 4.64], p less than or equal to 0.001, and this relationship was mediated by risky romantic relationships in young adulthood. Conclusions: Results of this study draw attention to the potential long-term consequences of child abuse and neglect for physical health, in particular sexual risk, and point to romantic relationships as an important focus of intervention and prevention efforts. (Contains 3 figures and 3 tables.) (As Provided).
Anmerkungen	American Psychological Association. Journals Department, 750 First Street NE, Washington, DC 20002-4242. Tel: 800-374-2721; Tel: 202-336-5510; Fax: 202-336-5502; e-mail: order@apa.org; Web site: http://www.apa.org/publications
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10